Journal of Mens Health最新文献

Exploration of experiences and attitudes associated with lung health promotion among Black males with a history of smoking. 探讨有吸烟史的黑人男性在肺部健康宣传方面的经验和态度。

IF 0.6 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Mens Health

Pub Date : 2024-01-01 Epub Date: 2024-01-29 DOI: 10.22514/jomh.2024.005

Alicia K Matthews, Suchanart Inwanna, Dami Oyaluade, Alexis Chappel, Jennifer Akufo, Sage J Kim, Rohan Jeremiah

To examine knowledge and attitudes about lung health promotion (smoking cessation and lung cancer screening) among Black male smokers in a large Midwestern city in the United States. Semi-structured, in-depth interviews were conducted with 25 study participants. Each interview lasted approximately 45 minutes. Participants also completed a brief (5-10 minutes) survey measuring demographic characteristics, smoking experiences and knowledge and attitudes about lung health promotion activities. Descriptive statistics were used for quantitative data, and deductive thematic analysis for qualitative data analysis. The mean age of study participants was 57.5 years. Eighty-four percent of participants were current smokers, with the majority being daily smokers. Perceived risk for lung cancer was mixed, with 56% of participants endorsing that they considered themselves to be at high or moderate risk and the remaining 44% at low or no risk for lung cancer. Forty percent of participants reported having had a test to check their lungs for cancer. Participants were aware of the health risks associated with smoking but reported limited assistance from providers regarding the receipt of smoking cessation treatments. Awareness of lung cancer screening was limited, but participants expressed openness to screening; however, barriers were anticipated, including costs, fear and a reduced willingness to be screened in the absence of symptoms. Study participants reported limited experiences with lung health promotion activities. Knowledge about the facilitators and barriers can be used to develop health promotion interventions targeting smoking cessation and lung cancer screening.

研究美国中西部某大城市黑人男性吸烟者对促进肺部健康（戒烟和肺癌筛查）的认识和态度。对 25 名研究参与者进行了半结构化深入访谈。每次访谈持续约 45 分钟。参与者还完成了一项简短（5-10 分钟）的调查，调查内容包括人口特征、吸烟经历以及对肺健康促进活动的认识和态度。定量数据采用描述性统计，定性数据采用演绎主题分析。研究参与者的平均年龄为 57.5 岁。84%的参与者目前是吸烟者，其中大多数是日常吸烟者。对肺癌风险的认识不一，56%的参与者认为自己有高风险或中度风险，其余44%的参与者认为自己有低风险或无风险。40%的参与者表示曾接受过肺癌检查。参与者意识到吸烟对健康的危害，但表示在接受戒烟治疗方面，医疗服务提供者提供的帮助有限。参与者对肺癌筛查的认识有限，但表示对筛查持开放态度；不过，预计会遇到一些障碍，包括费用、恐惧以及在没有症状的情况下接受筛查的意愿降低。研究参与者报告称，他们在肺部健康促进活动方面的经验有限。有关促进因素和障碍的知识可用于制定针对戒烟和肺癌筛查的健康促进干预措施。

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引用次数: 0

Patient education services and the organizational factors affecting them at teaching hospitals affiliated with Mashhad University of Medical Sciences (MUMS), 2008 马什哈德医科大学附属教学医院的病人教育服务和影响他们的组织因素，2008年

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Mens Health

Pub Date : 2012-12-01 DOI: 10.1016/j.jomh.2012.04.004

Ali Vafaee-Najar , Hossein Ebrahimipour , Mohammad-Reza Shidfar , Reza Khani-Jazani

Background

Presenting educational and communicational programs for patients is considered to be one of the most significant executive roles of hospitals. Studying the status of patients’ training services, identifying the barriers, and the organizational factors that affect these in the hospitals affiliated to the Mashhad University of Medical Sciences (MUMS) was the aim of this study.

Method

This was a descriptive cross-sectional study. The participants were 441 patients, 200 physicians, 185 nurses, and 70 supervisors as well as the managers of the MUMS hospitals during the year 2008. Data were gathered using questionnaires and interviews. SPSS software (version 2), and ANOVA were used to analyze the data.

Results

Only 42% of patients received the necessary training and 94% of them were not satisfied with the amount of training received (which was less than 5 min in 83.3% of cases) or with the content (i.e. mainly related to the method of treating the disease). Of the physicians, 79.4% considered lack of time to be the most important barrier to patient’ training and 72% of the hospital managers ruled out the possibility of role play training by nurses under current conditions.

Conclusions

Underestimating the role of nurses in patient education by the patients themselves and barriers such as high workload, lack of suitable space, lack of appropriate educational materials, and lack of emphasis by managers, were the most influential factors in terms of patient training. Therefore, reviewing the job description for staff, developing retraining programs for medical staff, boosting educational facilities and encouraging the provision of patient training as part of current hospital services could have an influence on promoting staff capability in the patient education process.

为患者提供教育和交流项目被认为是医院最重要的行政职责之一。本研究的目的是研究马什哈德医科大学附属医院的患者培训服务状况，确定障碍，以及影响这些服务的组织因素。方法采用描述性横断面研究。2008年期间，参与者是441名病人、200名医生、185名护士和70名主管以及妇产联合医院的管理人员。通过问卷调查和访谈收集数据。采用SPSS软件(version 2)和方差分析(ANOVA)对数据进行分析。结果只有42%的患者接受了必要的培训，94%的患者对培训的时间不满意(83.3%的患者培训时间小于5分钟)或培训的内容不满意(即主要与治疗疾病的方法有关)。79.4%的医生认为缺乏时间是患者培训的最大障碍，72%的医院管理人员排除了护士在目前情况下进行角色扮演培训的可能性。结论患者自我低估护士在患者教育中的作用、工作量大、缺乏合适的空间、缺乏合适的教育材料、管理者不重视等障碍是影响患者培训的主要因素。因此，检讨工作人员的职位描述，为医务人员制定再培训计划，增加教育设施，并鼓励提供病人培训，作为现有医院服务的一部分，可以对提高工作人员在病人教育过程中的能力产生影响。

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引用次数: 15

“No jobs, more crime. More jobs, less crime”: structural factors affecting the health of Latino men in Detroit “没有工作，更多的犯罪。“更多的工作，更少的犯罪”:影响底特律拉丁裔男性健康的结构性因素

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Mens Health

Pub Date : 2012-12-01 DOI: 10.1016/j.jomh.2012.03.007

William D. Lopez MPH , Louis F. Graham DrPH, MPH , Caitlin Reardon BA , Armando Matiz Reyes DDS , Angela Reyes MPH , Mark Padilla PhD, MPH

Background

Latinos comprise 14% of the United States (U.S.) population, and approximately 75% of Latinos in the U.S. are immigrants or children of immigrants. Urban Latino men face a distinct set of structural barriers that may influence their health and well-being. The collapse of the automobile industry in Detroit, Michigan, contributed to increased rates of racially stratified unemployment.

Method

Through semi-structured interviews and ethnography, we present a case study of nine Latino men who face decreasing opportunities for formal employment and navigate the constant threat of violence and deportation in the face of Detroit's rapid deindustrialization.

Results

In light of scarce work opportunities, participants sought income from the informal labor sector. This work was often illegal or dangerous, such as drug dealing, and perpetuated a cycle of violence. The threat of violence and deportation limited mobility and contact with authorities, especially among undocumented participants.

Conclusion

In order to promote the health of urban Latino men, a careful consideration of the structural factors that shape their lives is essential. Interventions should work to leverage an extensive skill set and drive to work into meaningful formal employment, and consider the overarching effects of documentation on social mobility.

拉丁美洲人占美国人口的14%，美国大约75%的拉丁美洲人是移民或移民子女。城市拉丁裔男子面临着可能影响其健康和福祉的一系列独特的结构性障碍。密歇根州底特律市汽车工业的崩溃导致了种族失业率的上升。方法:通过半结构化访谈和民族志，我们对九名拉丁裔男性进行了案例研究，他们面临着正式就业机会的减少，面对底特律快速去工业化的持续暴力和驱逐的威胁。结果由于工作机会稀缺，参与者从非正规劳动部门寻求收入。这种工作通常是非法的或危险的，例如毒品交易，并使暴力循环永久化。暴力和驱逐的威胁限制了流动性和与当局的联系，特别是无证件参与者。结论为了促进拉丁裔城市男性的健康，必须仔细考虑影响其生活的结构性因素。干预措施应努力利用广泛的技能组合，推动工作进入有意义的正式就业，并考虑证件对社会流动的总体影响。

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引用次数: 19

Effects of castration on the expression of aquaporins and apoptosis in the ventral prostate 去势对腹侧前列腺水通道蛋白表达及细胞凋亡的影响

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Mens Health

Pub Date : 2012-12-01 DOI: 10.1016/j.jomh.2012.03.015

Seung-Il Jung MD, PhD , Hyun-Suk Lee MS , Hyung-Seok Kim MD, PhD , Kyuyoun Ahn MD, PhD , Kwangsung Park MD, PhD

Background

Aquaporins (AQPs) are transmembrane proteins that play a major role in the regulation of membrane water permeability. The purpose of this study was to determine the expression and localization of AQPs in the ventral prostate (VP) and to predict a possible role for AQPs in apoptotic rat VP, as there has been little research on the expression of AQPs in rat prostate.

Methods

Male Sprague–Dawley rats were divided into two groups: a control group and a castration group. The expression and cellular localization of AQPs 1–9 in the VP were determined using immunochemistry and Western blot analysis, respectively. Apoptosis of the VP was determined using Western blot analysis of Bax and Bcl-2 proteins.

Results

Among the AQPs, AQP1 and 9 were expressed in rat VP. AQP9 expression was localized on the epithelial cell membranes in the intermediate region, which has a secretary function. The expression of AQP1 was not changed after castration; however, the expression of AQP9 was significantly decreased. Apoptosis of the epithelium developed on day 1 after castration and reached a maximum on day 3. At that time, the expression of AQP9 was highly preserved.

Conclusions

In rat VP, only AQP9 was expressed on the epithelial cell membrane in the intermediate region, which has a secretary function, implying that AQP9 may play a role in secretory processes. The apoptotic process and AQP9 expression was correlated, so further study of the role of AQPs in castration-induced apoptotic and transition processes will be required.

水通道蛋白(AQPs)是一种跨膜蛋白，在调节细胞膜透水性中起重要作用。本研究的目的是确定AQPs在腹侧前列腺(VP)中的表达和定位，并预测AQPs在大鼠VP凋亡中的可能作用，因为目前关于AQPs在大鼠前列腺中的表达的研究很少。方法将sd - dawley大鼠分为对照组和去势组。免疫化学和Western blot检测AQPs 1-9在VP中的表达和细胞定位。Bax和Bcl-2蛋白Western blot检测VP的凋亡情况。结果aqp中AQP1和aq9在大鼠VP中表达。AQP9的表达定位于上皮细胞膜中间区域，具有秘书功能。去势后AQP1表达无明显变化;而AQP9的表达明显降低。上皮细胞凋亡在去势后第1天开始出现，在第3天达到最大。此时，AQP9的表达被高度保存。结论在大鼠VP中，只有AQP9在上皮细胞膜中间区域表达，具有分泌功能，提示AQP9可能在分泌过程中发挥作用。凋亡过程与AQP9表达相关，因此需要进一步研究AQPs在去势诱导的细胞凋亡和凋亡转化过程中的作用。

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引用次数: 2

Detection and analysis of MMP-2 and MMP-9 in seminal plasma 精浆中MMP-2和MMP-9的检测与分析

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Mens Health

Pub Date : 2012-12-01 DOI: 10.1016/j.jomh.2012.07.002

Jiu-wei Du , Ke-yi Xu , Li-yi Fang , Xin-Lan Qi

Background

The aim of this study was to explore the association between semen parameters and matrix metalloproteinase-2 (MMP-2) and matrix metalloproteinase-9 (MMP-9) expression in human seminal plasma samples.

Methods

Conventional semen analysis was performed on semen samples (n = 64). MMP-2 and MMP-9 expression in seminal plasma was determined using gelatin zymography.

Results

Compared to semen samples with a normal sperm count, semen samples with a low sperm count (≤ 19 × 10⁶/ml) showed reduced sperm viability, a reduced percentage of Grade A sperm, a reduced percentage of morphologically-normal sperm, and lower proMMP-9 and MMP-9 but higher proMMP-2 and MMP-2 levels (P < 0.05). There were correlations between MMP-2 and MMP-9 expression and the percentage of Grade A sperm and morphologically-normal sperm (P < 0.05).

Conclusions

MMP-2 and MMP-9 are both present in human semen, and low-concentration semen samples have increased MMP-2 and decreased MMP-9. We also observed relationships between MMP-2, MMP-9 and seminal parameters.

本研究旨在探讨精液参数与人精浆中基质金属蛋白酶-2 (MMP-2)和基质金属蛋白酶-9 (MMP-9)表达的关系。方法对64份精液样本进行常规精液分析。明胶酶谱法测定精浆中MMP-2和MMP-9的表达。结果与正常精子数量相比，低精子数量(≤19 × 106/ml)的精子活力降低，a级精子比例降低，形态正常精子比例降低，proMMP-9和MMP-9水平降低，而proMMP-2和MMP-2水平升高(P <0.05)。MMP-2和MMP-9的表达与A级精子和形态正常精子的比例(P <0.05)。结论smmp -2和MMP-9均存在于人精液中，低浓度精液中MMP-2升高，MMP-9降低。我们还观察了MMP-2、MMP-9与种子参数之间的关系。

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引用次数: 3

Editor's Comments 编辑的评论

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Mens Health

Pub Date : 2012-12-01 DOI: 10.1016/j.jomh.2012.10.001

Ajay Nehra MD (Editor-in-Chief of jmh)

引用次数: 0

Masturbation as a compensation for partnered-sex among enforced male bachelors in rural China – findings from a survey conducted in the context of a deficit of females 手淫是中国农村被强迫的单身男性对伴侣性行为的一种补偿——一项在女性短缺背景下进行的调查发现

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Mens Health

Pub Date : 2012-12-01 DOI: 10.1016/j.jomh.2012.02.005

Xueyan Yang PhD , Isabelle Attané PhD , Shuzhuo Li PhD , Qunlin Zhang MD

Background

Due to the change in sex ratio at birth over the past decades, China has been facing a growing female deficit that has led to a “male marriage squeeze”. In China, bachelorhood implies that sexual needs may barely be met through sexual intercourse with a regular partner.

Methods

Using data from a survey conducted in JC District, Anhui, in August 2008, the present study adopted descriptive, stepped binary logistic and linear regression methods to analyze masturbation behaviors among enforced male bachelors in rural China in comparison to married men of the same age.

Results

The prevalence of sexual intercourse among enforced male bachelors was significantly lower than that among married men. Also, while the prevalence of masturbation did not vary much by marital status, its frequency (number of times the respondent masturbated) was significantly higher among unmarried than married men. Compared to the married men, the ennforced male bachelors with more acceptable attitudes toward masturbation were more likely to masturbate and to masturbate more often.

Conclusions

In the context of a male marriage squeeze, for those enforced male bachelors who hold acceptable attitudes toward masturbation, it truly acts as a compensation for partnered sexual intercourse, even if the frequency of masturbation remains rather low on average.

由于过去几十年出生人口性别比的变化，中国一直面临着日益严重的女性赤字，这导致了“男性婚姻挤压”。在中国，单身意味着性需求可能很难通过与固定伴侣性交来满足。方法利用2008年8月在安徽省JC区进行的一项调查数据，采用描述性、阶梯式二元logistic和线性回归方法，对中国农村地区被强迫单身男性与同龄已婚男性的手淫行为进行比较分析。结果被强迫单身男性的性行为发生率明显低于已婚男性。此外，虽然自慰的流行程度与婚姻状况没有太大差异，但其频率(被调查者自慰的次数)在未婚男性中明显高于已婚男性。与已婚男性相比，对手淫持更可接受态度的未婚男性更有可能手淫，而且手淫的频率也更高。结论:在男性婚姻挤压的背景下，对于那些对手淫持可接受态度的男性单身汉来说，手淫确实是对伴侣性行为的一种补偿，即使手淫的平均频率仍然很低。

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引用次数: 7

Determinants of medical student attitudes to a learning communication skills teaching program 医学生对学习沟通技巧教学计划态度的决定因素

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Mens Health

Pub Date : 2012-12-01 DOI: 10.1016/j.jomh.2012.01.005

Md. Anayet Ullah MBBS, DCM, MPhil, MHPEd, PhD , Arunodaya Barman MBBS, DCM, DHE, DMEd, MMEd , Ahmad Fuad Abdul Rahim MD, MHPEd , Muhamad Saiful Bahri Yusoff MD, MMEd

Background

The determinants of medical students’ attitudes to communication skills training have for long been a concern among medical educationalists. The present study was undertaken to assess the attitudes of undergraduate medical students towards the teaching of learning communication skills courses and their determinants.

Methods

A total of 472 undergraduate medical students from the Universiti Sains Malaysia participated in this study. Students’ attitudes were measured using a modified communication skills attitude scale (CSAS). Univariate and multivariate statistics were applied to find the correlates to students’ attitudes.

Results

More than 95% of the students desired to learn communication skills. The majority of the students preferred formal courses on communication skills during their clinical training years. Demographic characteristics, e.g. gender and place of family residence, and education-related characteristics such as a preference for a formal communication skills training program during clinical years, and perception of a curriculum content overload were identified as the important determinants of students’ attitudes towards learning communication skills.

Conclusions

The demographic and education-related profiles of the participating medical students should be considered when designing a communication skills teaching program. Further studies are recommended to explore the underlying causes of less interest from rural students and the negative attitudes of male students towards learning communication skills.

医学生对沟通技巧培训态度的影响因素一直是医学教育家关注的问题。本研究旨在探讨医大学生对沟通技巧课程教学的态度及其影响因素。方法马来西亚理科大学医学院本科学生472人参与本研究。采用改进的沟通技巧态度量表(CSAS)测量学生的态度。采用单因素和多因素统计方法分析学生态度的相关因素。结果95%以上的学生希望学习沟通技巧。大多数学生在临床培训期间更喜欢正式的沟通技巧课程。人口统计学特征(如性别和家庭居住地)、教育相关特征(如在临床期间对正式沟通技巧培训计划的偏好)以及对课程内容过载的感知被认为是学生对学习沟通技巧态度的重要决定因素。结论在设计沟通技巧教学方案时，应考虑到医学生的人口统计学和教育相关情况。建议进一步研究探讨农村学生对沟通技巧学习兴趣降低的潜在原因和男生对学习沟通技巧的消极态度。

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引用次数: 8

Effect of ethanolic extract of Paederia foetida Linn. leaves on sexual behavior and spermatogenesis in male rats 小檗乙醇提取物的药理作用。叶片对雄性大鼠性行为和精子发生的影响

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Mens Health

Pub Date : 2012-12-01 DOI: 10.1016/j.jomh.2011.12.003

Devendra K. Soni MPharm, Vikas Sharma MPharm, Nagendra Singh Chauhan PhD, V.K. Dixit PhD

Background

Paederia foetida Linn. (P. foetida) is considered to be an aphrodisiac, but its ability to stimulate sexual behavior has not been reported. In the present study, the effects of an ethanolic extract of P. foetida on sexual behavior and testosterone level in male rats was investigated.

Methods

Ethanolic extract of the leaves (50, 100 and 200 mg/kg body weight) was studied for their effect on body and secondary sexual organ weight, sexual behavior, spermatogenesis and serum testosterone level in male albino rats.

Results

Oral administration of the extract in albino rats showed pronounced anabolic and spermatogenic effects in animals in the treated groups. The extract significantly increased both mount and intromission frequency. In addition, it also significantly reduced both mount and intromission latency. These effects were associated with an increase in orientation activity.

Conclusion

The extract had a dose-dependent influence on serum testosterone level. The results support the use of P. foetida as an aphrodisiac in traditional medicine.

背景紫檀。(P. foetida)被认为是一种壮阳药，但其刺激性行为的能力尚未报道。本研究探讨了足底草乙醇提取物对雄性大鼠性行为和睾酮水平的影响。方法以白化病雄性大鼠为研究对象，研究了50、100和200 mg/kg体重的白化病叶片乙醇提取物对雄性大鼠体重、第二性器官重、性行为、精子发生和血清睾酮水平的影响。结果白化病大鼠灌胃提取物对各组动物均有明显的合成代谢和生精作用。提取物显著提高了安装频率和透射频率。此外，它还显著降低了挂载和导入延迟。这些影响与定向活动的增加有关。结论黄芪提取物对血清睾酮水平有剂量依赖性影响。研究结果支持了牛膝草作为春药在传统医学中的应用。

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引用次数: 12

Associations between daily sitting time and the combinations of lifestyle risk factors in men 男性日常坐着时间与生活方式风险因素组合之间的关系

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Mens Health

Pub Date : 2012-12-01 DOI: 10.1016/j.jomh.2012.02.003

S. Zwolinsky BSc , A. Pringle PhD , A. Daly-Smith MSc , J. McKenna PhD , S. Robertson PhD , A. White PhD

Background

Understanding the reciprocal role that multiple problematic behaviours play in men's health is important for intervention delivery and for reducing the healthcare burden. Data regarding the concurrence of problematic health behaviours is currently limited but offers insights into risk profiles, and should now include total time spent sitting/day.

Methods

Self-reported data on lifestyle health behaviours was collected from 232 men aged ≥18 years who engaged in a men's health promotion programme delivered by 16 English Premier League Clubs.

Results

Men at risk due to high sitting display multiple concurrent lifestyle risk factors, 88.6% displayed at least two ancillary risk factors and were three times more likely to report ≥2 lifestyle risk factors (OR = 3.13, 95% confidence interval (CI) = 1.52–6.42) than those with low sitting risk. Significant differences in the mean number of risk factors reported between those participants in the higher risk (2.43 ± 0.90) and lower risk (2.13 ± 0.96) sitting categories were also found (P = 0.015).

Conclusions

Hard-to-reach men displayed multiple problematic concurrent behaviours, strongly linked to total sitting time.

背景:了解多种问题行为在男性健康中的相互作用，对于提供干预措施和减轻医疗负担非常重要。关于问题健康行为同时发生的数据目前有限，但提供了对风险概况的见解，现在应该包括每天坐着的总时间。方法收集16家英超俱乐部开展的男性健康促进项目中232名年龄≥18岁的男性的生活方式健康行为自述数据。结果高坐风险人群同时存在多种生活方式危险因素，88.6%的人至少存在两种辅助危险因素，报告≥2种生活方式危险因素的可能性是低坐风险人群的3倍(OR = 3.13, 95%可信区间(CI) = 1.52 ~ 6.42)。高危险坐姿组(2.43±0.90)和低危险坐姿组(2.13±0.96)报告的危险因素的平均数目也有显著差异(P = 0.015)。结论:难以接触的男性表现出多种有问题的同时行为，与总坐着时间密切相关。

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引用次数: 13